| NPI | 1407876287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY S NESTERENKO Owner 310-216-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48714) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-06-19 |